Abstract

Membrane-bound Factor VIII (FVIII) has a critical function in blood coagulation as the pro-cofactor to the serine-protease Factor IXa (FIXa) in the FVIIIa-FIXa complex assembled on the activated platelet membrane. Defects or deficiency of FVIII cause Hemophilia A, a mild to severe bleeding disorder. Despite existing crystal structures for FVIII, its membrane-bound organization has not been resolved. Here we present the dimeric FVIII membrane-bound structure when bound to lipid nanotubes, as determined by cryo-electron microscopy. By combining the structural information obtained from helical reconstruction and single particle subtomogram averaging at intermediate resolution (15-20 Å), we show unambiguously that FVIII forms dimers on lipid nanotubes. We also demonstrate that the organization of the FVIII membrane-bound domains is consistently different from the crystal structure in solution. The presented results are a critical step towards understanding the mechanism of the FVIIIa-FIXa complex assembly on the activated platelet surface in the propagation phase of blood coagulation.

Highlights

  • Factor VIII (FVIII) is an essential cofactor in the blood-clotting cascade

  • This volume can accommodate two FVIII molecules and part of the outer lipid layer of the lipid nanotubes (LNT)’s membrane, as the volume and surface area corresponding to the FVIII-3D structure (3CDZ) low-pass filtered to 25 Å are equal to 403.1 × 103 Å3 and 31.5 × 103 Å2, respectively and the volume and surface area corresponding to the FVIII-LNT structures in Fig. 1B, low-pass filtered to 25 Å are equal to 367.7 × 103 Å3 and 31.2 × 103 Å2, respectively

  • We have successfully applied single particle tomography (SPT) reconstruction to resolve for the first time the structure of membrane-bound Porcine FVIII lacking the B domain (pFVIII) helically organized on LNT without enforcing helical symmetry

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Summary

Introduction

Factor VIII (FVIII) is an essential cofactor in the blood-clotting cascade. Its importance is illustrated by Hemophilia A, a mild to severe X-chromosome linked bleeding disorder, caused by defective or deficient FVIII1,2. Porcine FVIII lacking the B domain (pFVIII) shares 86% amino acid sequence identity with hFVIII and has similar coagulation activity, forming functional FVIIIa-FIXa complexes with human FIXa in vivo[28,29]. The pFVIII expression yield is 10 to 14 fold higher than for the human analogue[30] and its active form (pFVIIIa) is indefinitely stable at concentration greater than 0.3 mM and pH = 6.0, whereas hFVIIIa spontaneously dissociates after only a few minutes in vitro[20,23,31] These properties of pFVIII are ideal for direct structural studies by cryo-EM in a lipid environment and at close to physiological conditions. The FVIII-C2 domain membrane-binding interface[12,13]

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